Case Reports in Women's Health (Mar 2025)

Etonogestrel implant failure in a woman taking thyroid hormone replacement: A case report

  • Alice Moylan,
  • Jewel Brown,
  • Melissa J. Chen,
  • Mitchell D. Creinin

Journal volume & issue
Vol. 45
p. e00687

Abstract

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The etonogestrel implant is known to have high contraceptive efficacy for up to 5 years. This case report describes etonogestrel implant failure during year 4 of use in a patient with a normal body mass index. The patient was receiving thyroid hormone replacement after a thyroidectomy and was found to have iatrogenic thyrotoxicosis in the months preceding pregnancy. Further study of the effects of thyroid hormone on etonogestrel metabolism are indicated.

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